Denials Analyst

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Denials Analyst who will be responsible for reviewing incoming charges in the work queue, handling dummy code, prop 99, all CPT/modifiers, and extracting/notating codes. The role includes working with CPT codes for specialties such as GI and high dollar accounts for Hematology. The Denials Analyst will collaborate with the TCH coding team, managing tasks based on direction from supervisors who prioritize by high dollar, date, or service.

Key Responsibilities

• Review and manage charges in the work queue based on specialties.
• Apply dummy codes, prop 99, and all CPT/modifiers.
• Collaborate with the TCH coding team.
• Prioritize tasks based on supervisor instructions.
• Extract and notate CPT codes from OP notes.

Qualifications

• Must hold a CPC, RHIT, or AHIMA Certification.
• 3-5 years of outpatient/pro-fee/PB/surgical coding experience, with specialty experience.
• Proficiency in Epic software.

Skills

• Ability to work effectively in a flexible schedule environment.
• Competent with Epic software.
• Strong attention to detail and accuracy in coding practices.

Additional Requirements

• Position is remote, excluding candidates from Ohio, CA, Washington State, North Dakota, and NY.
• Must provide own computer and have Teams/Samantic VIP access on phone.
• Flexible working hours from 5am to 7pm, with core hours from 5am-2pm.
• 30-minute lunch required after 6 consecutive hours worked.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities.

Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.